ESCRS - P181 - REFRACTIVE AND VISUAL OUTCOMES AFTER KERRARING VS FERRARA INTRASTROMAL CORNEAL RING SEGMENT IMPLANTATION FOR KERATOCONUS: A COMPARATIVE STUDY

REFRACTIVE AND VISUAL OUTCOMES AFTER KERRARING VS FERRARA INTRASTROMAL CORNEAL RING SEGMENT IMPLANTATION FOR KERATOCONUS: A COMPARATIVE STUDY

Published 2022 - 26th ESCRS Winter Meeting

Reference: P181 | Type: Abstracts | DOI: 10.82333/d6qe-qd93

Authors: Ana Filipa Moleiro* 1 , Rodrigo Vilares-Morgado 1 , Raúl Moreira 1 , Luís Torrão 1 , Fernando Falcão-Reis 1 , João Pinheiro-Costa 1

1Department of Ophthalmology,Centro Hospitalar e Universitário de São João,Porto,Portugal

Purpose

To evaluate the refractive, topographic, optical, visual acuity, and quality outcomes of two types of intrastromal corneal ring segments (ICRS) in the treatment of keratoconus.

Setting

This study took place in the Department of Ophthalmology of Centro Hospitalar e Universitário de São João, a tertiary center from Portugal.

Methods

Restrospective study of eyes implanted with Ferrara ICRS and Keraring ICRS. Pre- and post-operative examinations, including best corrected visual acuity (BCVA), topography, and ocular wavefront analysis were performed. Statistical significance was considered when p<0.05.

Results

Ferrara ICRS were implanted in 30 eyes, while Keraring ICRS were implanted in 18 eyes. Keratoconus grade was similar in both groups (p>0.05).

BCVA (Snellen scale) improved significantly from 0.34±0.16 to 0.63 ± 0.17 in the Ferrara group (p<0.001) and from 0.39 ± 0,19 to 0.63±0.14 in Keraring group (p<0.001). The postoperative increase in visual acuity was not statistically different between the two groups (p>0.05).

Keratometry evaluation revealed a significant decrease of 1.8±1.7D and 2.0±1.5D in Ferrara and Keraring groups respectively (p<0.001) with no statistical differences between the groups (p>0.05).

Considering wavefront analysis, both groups are comparable regarding high order aberrations.  

Conclusion

Intra-stromal corneal ring segments are an effective treatment for visual improvement in keratoconus. Both ICRS types provided comparable refractive, topographic, and optical quality outcomes.